Preoperative embolization of giant sacrococcygeal teratoma in a premature newborn

Benign sacrococcygeal teratoma with spinal canal invasion and paraplegia

“…The tumor was separated from the conus medullaris and cauda equina and was reflected inferiorly toward its connection with the sacral extradural portion of the lesion. described elsewhere and resulted in excellent hemostasis during SCT resection [30,31]. In our patient, we cautiously used a delayed resection strategy after embolization because of the long duration (4 hours) required for angiography with vessel occlusion as well as the desire to treat the neonate's hypervolemic state before engaging in a long and arduous operation.…”

Outcomes of prenatally diagnosed sacrococcygeal teratomas: the results of a Japanese nationwide survey

“…Most of them were premature infants who had huge and predominantly solid tumors. An early delivery with an EXIT-to-resection strategy [21] or emergency preoperative tumor embolization [22] may have some benefits for such critical cases.…”

Giant sacrococcygeal teratoma embolization

“…[1] When sacrococcygeal teratoma has a high vascular component and a diameter exceeding 10 cm, it has a high risk of rupture and consequently profuse bleeding before and especially during surgical resection. [23] We present a case of a giant high-vascular sacrococcygeal teratoma type-1 that was treated with preoperative endovascular embolization prior to its complete surgical resection.…”